Active NPI
James T Cornwell, MD
- Surgery Physician
- La Porte, IN
National Provider Identifier
1659389658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01056336A
- Practice address
- 900 I St
La Porte, IN 46350-5533 - Phone
- (219) 324-1700
- Fax
- (219) 324-1602
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01056336A | IN | Primary |
Addresses
Primary practice location
900 I St
La Porte, IN 46350-5533
Mailing address
710 N Niles Ave
South Bend, IN 46617-1924
Phone (574) 647-1610
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200369250 | Medicaid | IN | |
| P01683483 | Other | IN | RR MEDICARE |
| 000000869604 | Other | IN | BCBS LAPORTE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CORNWELL@mybeacon.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District #1-a of Whitman County | Past | Accepting new patients | |
| Public Hospital District #1-a of Whitman County | Past | Accepting new patients |
Interoperability endpoints
- cornwell@mybeacon.cernerdirect.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Pullman Regional Hospital
- Critical Access Hospital
- Pullman, WA
- NPI 1366446767
-
dba Pullman Regional Hospital
- Medicare Defined Swing Bed Hospital Unit
- Pullman, WA
- NPI 1750401006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1659389658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 N NILES AVE",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466171924",
"telephone_number": "574-647-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 I ST",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463505533",
"telephone_number": "219-324-1700",
"fax_number": "219-324-1602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNWELL",
"first_name": "JAMES",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01056336A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200369250",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01683483",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS LAPORTE",
"identifier": "000000869604",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CORNWELL@mybeacon.cernerdirect.com",
"affiliation": "N",
"address_1": "900 I St",
"city": "LA Porte",
"state": "IN",
"country_code": "US",
"postal_code": "463505533",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Porte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.